Health Savings Accounts

An HSA is a tax-advantaged benefit account for people enrolled in a high-deductible health plan (HDHP). You can make pre-tax contributions each payday in order to pay for IRS-approved eligible expenses for yourself and your dependents.

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Health Savings Accounts

Authorization for Release of Information Form

Debit Card Request Form (Replacement or Additional)

Employee Direct Deposit Authorization Form

HSA Account Transfer Form

HSA Application and Salary Reduction Agreement

HSA Request for Distribution Form

Benefit accounts